David R Peters, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101053653 Issued in VA

Practice address

891 Norfolk SQ
Norfolk, VA 23502-3209

Phone

(757) 461-0011

Fax

(757) 461-5762

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beach Counseling, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Virginia Beach, VA
  • NPI 1689162547
  Medicare reassignment NPD
• Reboot Functional Health Care Corporation

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1427709526
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1083737662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 HAYGOOD POINT RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554725",
            "telephone_number": "804-355-4358",
            "fax_number": "804-355-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 NORFOLK SQ",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023209",
            "telephone_number": "757-461-0011",
            "fax_number": "757-461-5762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2528 Las Brisas Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234564264",
            "country_code": "US",
            "telephone_number": "757-301-6985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101053653",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101053653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010015553",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Pershad
• Personal Touch Home Aides of VA, Inc
• Kayla Pesko, L CSA
• Marc L Pessar, MD
• Caitlin Pessig, RDN
• Emily Peters, MD
• Emily Mary Peters, MD
• Samantha Jordan Peters, MD
• William C Petersen, M.D.
• Caitlin Gannon Peterson, DO

• General Practice Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.